Healthcare Provider Details

I. General information

NPI: 1689472755
Provider Name (Legal Business Name): SAMAN F GHAHREMANI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST STE 130
SILVER SPRING MD
20910-3803
US

IV. Provider business mailing address

2045 UNIVERSITY BLVD E STE 100
HYATTSVILLE MD
20783-4153
US

V. Phone/Fax

Practice location:
  • Phone: 301-431-0431
  • Fax: 301-431-0470
Mailing address:
  • Phone: 240-847-7371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMAN F GHAHREMANI
Title or Position: OWNER
Credential: MD
Phone: 301-431-0431